Routine inspection·October 24, 2025

On 10/24/2025 at 08:20am, Licensing Program Analysts (LPAs) Zina Brown and Lizeth Villegas conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPAs met with Robert Jakini (Administrator) and the purpose of the visit was discussed. Facility is licensed to serve 91 non-ambulatory residents of which 10 may be bedridden, delay egress observed to be functional in memory care units which are floors, 2-4. There are 32 residents are diagnosed with dementia, 53 residents receiving home health and 10 residents receiving hospice care services. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices. The facility does not handle any of the residents’ money. The facility has a current administrator certificate (#7010468740) for Robert Jakini (Administrator) valid from 07/24/2025 - 07/23/2027. Administrator provided with upcoming annual fees info. The facility has liability insurance with (Ascot Insurance Company - NAIC # 23752) with an effective date as of (11/01/2024 - 11/05/2025 ) with each occurrence at $1,000,000 and general aggregate at $2,000,000 (policy # MAPL241000320203). LPA's Brown and Villegas conducted a records review of (8) resident records, (8) staff records, and the facility disaster plan. Facility disaster plan is observed to be current and in compliance with Title 22 regulations at the time of visit. LPA Villegas conducted a review of (8) Resident Medication Administration Records. There are 2 medication carts that are used. Report continues on LIC 809-C The facility is a 10 story building with eight (8) rooms on each floor, a basement, administrative offices on the first floor, rooftop patio. For the memory care, the facility is allowed to 13 beds and 13 residents. Also on the memory care floors #2 - #4 there are egress doors. LPA Villegas toured the resident bedrooms that had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between (105 F.-120 F.). Pull cords were observed. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly, and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. LPA observed the following not in compliance: On 10/25/2025, LPA observed 2 medication discrepancies for Resident 6 (R6) and Resident (R7). According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did observe deficiencies, and citations were issued at this time. Exit interview was held and a copy of the Facility Evaluation Report with Appeal Rights were provided to Robert Jakini (Administrator)